Active NPI
Family Practice of Washington, P.C.
- Family Medicine Physician
- Washington, IA
National Provider Identifier
1740317312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY PRACTICE OF WASHINGTON, P.C.
- Practice address
- 420 E Polk St
Washington, IA 52353-1237 - Phone
- (319) 653-7291
- Fax
- (319) 653-7440
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. G. David Nacos, M.D.
- Title
- President
- Phone
- (319) 653-7291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IA | Primary |
Addresses
Primary practice location
420 E Polk St
Washington, IA 52353-1237
Mailing address
420 E Polk St
Washington, IA 52353-1237
Phone (319) 653-7291
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29679 | Other | IA | WELLMARK BCBS OF IA |
| 0296798 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
420 E Polk St
Washington, IA 52353
Phone (319) 653-2930
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1740317312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E POLK ST",
"city": "WASHINGTON",
"state": "IA",
"postal_code": "523531237",
"telephone_number": "319-653-7291",
"fax_number": "319-653-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E POLK ST",
"city": "WASHINGTON",
"state": "IA",
"postal_code": "523531237",
"telephone_number": "319-653-7291",
"fax_number": "319-653-7440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE OF WASHINGTON, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NACOS",
"authorized_official_first_name": "G.",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-653-7291",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS OF IA",
"identifier": "29679",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0296798",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IA
- Sue A Dusterhoft, DIPL. O.M.
- Laurey Ann Easland, LMSW, CTRS, MT-BC
- Eastern Iowa Chiropractic Centre, PC
- Eastern Podiatry PLLC
- Family Counseling Services LLC
- J Richard Fikuart, R.PH.
- Jacob Robert Fitzpatrick, PHARMD
- Sarah Adrienne Fitzpatrick, PHARMD
- Ryan Andrew Flannery, M.D.
- Flexible Family Care, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.